Recurrent episodes of bilateral sacroiliac arthritis may be due to failure to strictly follow the prescribed treatment or unclear cause of sacroiliac arthritis, leading to poor treatment results. Bilateral sacroiliac arthritis is categorized into primary and secondary, with the exact factors in the development of primary being unknown. There are many secondary factors, including infectious factors, ankylosing spondylitis, psoriasis and other autoimmune diseases, which makes the treatment difficult. Due to individual differences, there may be differences in the effects of medications, and doctors need to make adjustments according to the patient’s condition, and if the patient’s compliance is not good, the attacks will be repeated. In addition, due to a variety of factors in the development of bilateral sacroiliac arthritis, it is necessary to clarify the specific causes of the onset of the disease, but also need to diagnose and identify the cause of the disease in a timely manner, and after clarifying the cause of the disease, it is necessary to treat the primary cause of the disease, and if you do not treat the primary cause of the disease, but only symptomatic treatment will lead to the recurrence of the disease. It is recommended that patients should go to regular hospitals for treatment under the guidance of professional doctors, and should try to take preventive measures, such as appropriate exercise, proper rest, regular checkups, active treatment of the primary disease, and improve their own immunity.